Clinic
Hidalgo Medical Services
Hidalgo Medical Services was paid $40.21M by Medicaid between Jan 2018 and Dec 2024, across 140 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoHIDALGO MEDICAL SERVICES
LORDSBURG, NM 88045
LORDSBURG, NM 88045
33aNPI1306843180assigned 07/07/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$40.21M
24GClaims298,004
24DCodes billed140
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#2 of 80
Median peer was paid$1.11M
This provider vs. median36×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 43,552 | $6.12M | |
| 2019 | 40,867 | $5.69M | |
| 2020 | 40,274 | $5.72M | |
| 2021 | 46,242 | $6.36M | |
| 2022 | 43,354 | $6.27M | |
| 2023 | 49,050 | $5.76M | |
| 2024incomplete | 34,665 | $4.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 49,593 | 43,119 | $10.67M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 36,408 | 32,729 | $7.74M |
| Q3014 | Telehealth originating site facility fee | 14% | 27,822 | 17,463 | $5.51M |
| D0999 | Unspecified diagnostic procedure, by report | 8.5% | 14,793 | 13,227 | $3.42M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.2% | 11,437 | 8,181 | $2.50M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.8% | 8,539 | 5,757 | $1.94M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 3.5% | 8,186 | 4,344 | $1.40M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.3% | 4,090 | 1,117 | $925K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 3,608 | 2,959 | $794K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 2,742 | 2,734 | $607K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 2,507 | 2,499 | $553K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 2,327 | 2,317 | $507K |
128 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 2,065 | $454K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,746 | $384K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,666 | $358K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,402 | $332K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,345 | $288K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,090 | $251K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 909 | $211K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 6,578 | $142K |
| 97803 | <1% | 580 | $131K | |
| 0002A | <1% | 532 | $121K | |
| 0003A | <1% | 558 | $120K | |
| 0001A | <1% | 471 | $107K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 507 | $107K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 400 | $87K |
| 0012A | <1% | 259 | $59K | |
| G0467 | Community health center visit, returning patient | <1% | 2,074 | $56K |
| 0011A | <1% | 230 | $53K | |
| 97802 | <1% | 218 | $45K | |
| 0124A | <1% | 316 | $38K | |
| 0072A | <1% | 157 | $36K | |
| 0071A | <1% | 152 | $35K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 120 | $29K |
| D0140 | Limited oral evaluation - problem focused | <1% | 919 | $19K |
| 0031A | <1% | 79 | $18K | |
| D1110 | Prophylaxis - adult | <1% | 882 | $18K |
| 91301 | <1% | 634 | $13K | |
| 0134A | <1% | 88 | $12K | |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 51 | $12K |
| 0013A | <1% | 44 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 46 | $9K |
| 99381 | <1% | 41 | $9K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 198 | $8K |
| H0031 | Mental health assessment, by non-physician | <1% | 33 | $7K |
| 91300 | <1% | 1,734 | $7K | |
| 0073A | <1% | 19 | $4K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 628 | $4K |
| 99442 | <1% | 17 | $4K | |
| 99441 | <1% | 18 | $4K | |
| 80306 | <1% | 2,703 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 515 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,004 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,162 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 98 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $3K |
| 0094A | <1% | 13 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,584 | $1K |
| 0173A | <1% | 41 | $1K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 46 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,279 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 13 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,075 | $1K |
| D0330 | Panoramic radiographic image | <1% | 41 | $1K |
| 81003 | <1% | 3,914 | $740.40 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,642 | $721.83 |
| 83655 | <1% | 914 | $686.16 | |
| 85018 | <1% | 1,336 | $648.51 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 958 | $611.37 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 534 | $324.14 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,486 | $320.05 |
| 90461 | <1% | 3,875 | $272.70 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 88 | $251.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 575 | $233.76 |
| 99177 | <1% | 1,304 | $233.17 | |
| 91307 | <1% | 342 | $231.92 | |
| 90647 | <1% | 157 | $224.46 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 69 | $224.46 |
| 94010 | <1% | 60 | $216.17 | |
| 81025 | <1% | 2,048 | $216.01 | |
| 99173 | <1% | 3,068 | $182.06 | |
| 92587 | <1% | 976 | $171.94 | |
| 36416 | <1% | 4,811 | $136.30 | |
| 90734 | <1% | 701 | $131.39 | |
| 90756 | <1% | 924 | $96.71 | |
| 80348 | <1% | 254 | $89.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,514 | $67.53 |
| 3078F | <1% | 8,375 | $67.02 | |
| 90715 | <1% | 981 | $53.61 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 120 | $32.59 |
| 80305 | <1% | 545 | $29.42 | |
| 90648 | <1% | 329 | $23.34 | |
| G0008 | Administration of influenza virus vaccine | <1% | 25 | $10.55 |
| 3074F | <1% | 9,627 | $0.04 | |
| 3079F | <1% | 4,348 | $0.02 | |
| 3077F | <1% | 1,648 | $0.02 | |
| 90686 | <1% | 1,359 | $0.01 | |
| D0120 | Dental checkup, returning patient | 0% | 215 | $0.00 |
| 3075F | 0% | 2,682 | $0.00 | |
| 82044 | 0% | 24 | $0.00 | |
| 90698 | 0% | 743 | $0.00 | |
| 93000 | 0% | 499 | $0.00 | |
| 90680 | 0% | 978 | $0.00 | |
| 3080F | 0% | 1,124 | $0.00 | |
| 90696 | 0% | 147 | $0.00 | |
| 92558 | 0% | 486 | $0.00 | |
| 90723 | 0% | 537 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 30 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 65 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 13 | $0.00 |
| 3044F | 0% | 60 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 39 | $0.00 |
| 1111F | 0% | 34 | $0.00 | |
| 86580 | 0% | 67 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 48 | $0.00 |
| 91306 | 0% | 26 | $0.00 | |
| 90688 | 0% | 85 | $0.00 | |
| 91303 | 0% | 79 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 91317 | 0% | 27 | $0.00 | |
| 82962 | 0% | 12 | $0.00 | |
| 90716 | 0% | 20 | $0.00 | |
| 3351F | 0% | 42 | $0.00 | |
| 92551 | 0% | 15 | $0.00 | |
| 90670 | 0% | 1,632 | $0.00 | |
| 92588 | 0% | 1,111 | $0.00 | |
| 90633 | 0% | 1,012 | $0.00 | |
| 90649 | 0% | 1,198 | $0.00 | |
| 90710 | 0% | 634 | $0.00 | |
| 91312 | 0% | 316 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 173 | $0.00 |
| S4993 | Contraceptive pills for birth control | 0% | 50 | $0.00 |
| 3725F | 0% | 143 | $0.00 | |
| D0270 | 0% | 24 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 15 | $0.00 |
| 90707 | 0% | 31 | $0.00 | |
| 91313 | 0% | 68 | $0.00 | |
| 90473 | 0% | 27 | $0.00 | |
| 90658 | 0% | 54 | $0.00 | |
| 90655 | 0% | 55 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialOTERO, DANIEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hidalgo Medical Services | Silver City, NM | $863K |
| Hidalgo Medical Services | Silver City, NM | $303K |
| Hidalgo Medical Services | Silver City, NM | $247K |
| Hidalgo Medical Services | Bayard, NM | $6K |
| Hidalgo Medical Services | Gila, NM | $361.80 |
| Hidalgo Medical Services | Lordsburg, NM | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.